Individual
ATHENA TUOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
900 E WASHINGTON ST STE 301, COLTON, CA 92324-8182
(909) 370-0300
Mailing address
600 CHURCH PL APT 2, REDLANDS, CA 92374-2462
(909) 573-2833
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95018850
CA
Other
Enumeration date
06/19/2020
Last updated
11/11/2022
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